Two minutes. One business day callback.

For participants, families, GPs, support coordinators and discharge planners. No referral letter needed for NDIS or aged care.

Your referral

Who's referring
Participant
Services
Funding & clinic
Preferences
Review & send

Urgent or complex? Skip the form and call 1800 244 271 — intake clinicians answer Mon–Fri 8:00–18:00, Sat 8:00–13:00.

Who is making this referral?

Myself Family / carer GP / specialist Support coordinator Hospital / discharge Aged care provider

Please choose who's referring.

Participant details

Full name *

We need a name for the referral.

Date of birth

Best contact number *

Please enter a valid phone number.

Which services are needed?

Physiotherapy Occupational Therapy Speech Pathology Psychology Exercise Physiology Dietetics Podiatry Complex Care Home Modifications Assistive Technology Not sure yet

Pick at least one — or "Not sure yet".

Funding and preferred clinic

Funding type *

NDIS — agency NDIS — plan NDIS — self Home Care Package Private / Medicare

Please choose a funding type.

NDIS participant number

Preferred clinic *

Fairfield Carlingford Gordon Kanwal Home visit Telehealth

Please choose a clinic or delivery mode.

Preferences OPTIONAL

Preferred days

Mon Tue Wed Thu Fri Sat

Anything we should know?

Review and send

Referral received

Thank you — we're on it.

A clinician will call within one business day. Quote your reference number if you need to reach us first.

This static demonstration build doesn't transmit data — use the button below to send the completed referral to our intake inbox via your email client, or simply call us.

Send via email → Call 1800 244 271

AIHCS

Disability Integration Solutions Pty Ltd — allied health, NDIS and aged care services across Western Sydney, the North Shore and the Central Coast.

Services

Physiotherapy
Occupational Therapy
Speech Pathology
All ten disciplines →

Clinics

Fairfield — HQ
Carlingford
Gordon
Kanwal

Contact

1800 244 271
intake@aihcs.com.au
Services